Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Patient Access Services-Financial Counselor to join our dedicated team.
What You'll Do: As a Patient Access Services-Financial Counselor, you will be the liaison between insurance verification, and case management to ensure proper reimbursement on Emergency Room an Inpatient accounts. Responsible for ensuring all accounts are accurate. Responsible for insurance verification and obtaining authorizations when required. Collects copays, deductibles, or deposits for cash pay patients and makes financial arrangements as needed. Obtains authorizations when required.
Responsibilities
Responsible for ensuring all in-house accounts are accurate.
Obtains and copies insurance cards and updates all financial data in the patient account
Properly appropriates the correct payor, financial class, and billing information for each registered account
Document notes to billing that are pertinent to getting claims paid
Ensures accounts are properly documented with authorizations and reference numbers
Review utilization management notes to ensure that concurrent reviews have been done
Refers all accounts needing concurrent review to case management
Review in-house report daily to ensure reimbursements
Refers all problem accounts to appropriate parties such as verification, case management, supervisor, or manager
Ensures follow-ups for all inpatient accounts is done in a timely manner
Obtains signatures from patients for consent and financial responsibility
Helps in registration when needed
Responsible for insurance verification and obtaining authorizations when required.
Identifies the payor source and verifies insurance for all payors
Documents the insurance verification in the patient's account
Obtains authorizations when required and documents calls in the patient account
Collects copays, deductibles, or deposits for cash pay patients and makes financial arrangements as needed
Collects copays/deductibles/deposits
Refers patients to appropriate resources to ensure financial reimbursement
Notifies patients of non-covered services, and offers alternatives or advises patients of financial requirements for visit, admission, or continued stay
Identifies problem accounts and notifies supervisor
Maintains a professional atmosphere in the department
Responds to patients in a courteous and respectful manner
Answers the telephone in a prompt, courteous manner identifying their name, and the department they are working in
Extends special attention and sensitivity to all patients, visitors, physicians, and fellow employees
Assists in maintaining an atmosphere of cooperation with other departments and allied professionals
Demonstrates the ability to participate in and/or implement team decisions
Works together in a spirit of teamwork
Demonstrates the ability to adapt to varied age-specific patient populations
Maintains confidentiality regarding patient/employee/facility information 100% of the time
Attends and participates in meetings and is responsible for all information communicated at meetings
Attends all hospital mandatory in-services on a timely basis as scheduled
Participates as an active team member at all staff meetings
Reads all communications and acts upon in a positive and informative manner
What We're Looking For:
Experience:
Minimum two (2) years of experience in healthcare, insurance, or a related field.
Experience in an inpatient or outpatient admissions setting or a physician’s office is preferred.
Knowledge of patient accounting, insurance payor systems, and medical terminology.
Strong communication skills, both written and verbal, to interact with patients, payers, and hospital staff.
Ability to work both independently and as part of a team.
Computer literacy required.
Bilingual (Spanish) preferred.
Education:
High School diploma or equivalent required
Some college coursework, Certified Patient Account Technician certification, or medical terminology course preferred
Licensures/Certification:
Must successfully complete and maintain LA City Fire Card certification within the first 30 days of employment
Must successfully complete and maintain Managing Aggressive Behavior certification within 30 days of employment
Why You'll Love Working Here:
Supportive Environment:
We prioritize teamwork, professional growth, and a positive work culture.
Impactful Work:
Your role will directly contribute to the smooth operation of our organization.
Professional Development:
We offer continuous learning and advancement opportunities to help you grow in your career.
General Responsibilities:
Maintain a professional atmosphere in the hospital at all times.
Adjust to changes in department schedules as required, filling in during emergencies when necessary.
Respect patients' privacy in accordance with the Patient’s Bill of Rights and HIPAA regulations.
Attend and participate in departmental meetings, staying informed on all communicated updates.
Ensure smooth teamwork and cooperation with other departments.
Foster a positive public image by interacting professionally with patients and visitors.
Work Environment:
Primarily an indoor building/office environment with good lighting and ventilation.
Fast-paced work with variable workload and frequent interruptions.
Frequent interaction with staff, patients, and the public under diverse circumstances.
Occasionally exposed to emotional situations involving accidents, illness, or death.
Potential exposure to hazards from chemicals, flammable materials, and equipment.
Physical Demands:
Continuous (66-100%): Sitting and standing/walking with frequent position changes.
Frequent (33-65%): Reaching, grasping, and using hands for fine motor tasks.
Occasional (0-32%): Lifting and carrying objects up to 25 pounds.
Continuous use of near vision, hearing, and verbal communication to interact with patients and staff.
Key Responsibilities:
Patient Care Excellence: Champion a positive patient experience, ensuring high standards of care and safety.
Team Leadership: Mentor and support staff, fostering a collaborative and efficient work environment.
Operational Management: Oversee scheduling, resource availability, and staff assignments to ensure smooth operations.
Communication & Collaboration: Facilitate clear communication between patients, families, staff, and physicians.
Performance Improvement: Participate in quality initiatives and ensure compliance with regulatory requirements.
Ready to Elevate Your Career? Join us at Valley Presbyterian Hospital and be a part of a team dedicated to excellence in patient care. Apply today to lead, inspire, and make a difference!
